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General NPI Number Information
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NPI Number | 1750901567
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Entity Type | Organization
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Legal Business Name | FLUID MOTION PHYSICAL THERAPY AND PILATES PLLC
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Dates
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Enumeration Date | 04/22/2020
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Last Update Date | 05/27/2020
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Provider Practice Location Address
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Address Line | 4250 8TH AVE NW STE 100
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City | SEATTLE
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State | WA
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Zip | 98107-4516
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Country | US
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Telephone | 206-406-9078
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Fax |
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Provider Business Mailing Address
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Address Line | 4316 36TH AVE W APT A
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City | SEATTLE
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State | WA
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Zip | 98199-1157
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Country | US
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Telephone | 206-406-9078
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KAILEY CAMPBELL
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Credential | PT, DPT
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Telephone | 206-406-9078
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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